Individual provider Active NPI

Lenore A Wasserman Scola, LCSW

  • Clinical Social Worker
  • Phila, PA
National Provider Identifier
1619192572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012586 Issued in PA
Practice address
2100 Arch St
5TH H
Phila, PA 19103-1300
Phone
(215) 496-9700
Fax
(215) 496-0833
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW012586 PA Primary

Addresses

Primary practice location

2100 Arch St
5TH H
Phila, PA 19103-1300

Mailing address

109 S Exeter Ave
Margate City, NJ 08402
Phone (215) 496-9700

Other identifiers 1

IdentifierTypeStateIssuer
1000008810009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW012586PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Childrens Serv Clinical PastSince May 10, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619192572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S EXETER AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "08402",
            "telephone_number": "215-496-9700",
            "fax_number": "215-496-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ARCH ST",
            "address_2": "5TH H",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191031300",
            "telephone_number": "215-496-9700",
            "fax_number": "215-496-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN SCOLA",
        "first_name": "LENORE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000008810009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.